玻璃体切割在梅毒性葡萄膜炎中的试探性应用:附病例报告一例

目的:报道玻璃体切割在梅毒性葡萄膜炎中的应用。观察其治疗效果及安全性。方法:文献复习及病例报道。结果:一双眼梅毒性葡萄膜炎患者经药物治疗后,左眼视力明显提高而右眼停滞不前。右眼经标准三切口玻璃体手术后半个月,右眼视力大幅提高并超过左眼。结论:玻璃体切割手术在部分晚期梅毒性葡萄膜炎患者的治疗中有积极作用。尽管在本例患者中未见任何并发症,但其安全性及作用机制仍有待进一步研究证实。

Pilot Study of Treating Syphilitic Uveitis with Vitrectomy——One Case Report

Purpose: to study the possibility of treating syphilitic uveitis with vitrectomy, and observe its safety as well as validity. Method: case observation and literature review. Results: one bilateral syphilitic uveitis was treated with anti-inflammation and anti-syphilis treatment. The visual acuity at left side improved dramtically during short time while left eye kept same without improving. After carefully following up and analyzed for the unfavorable recovery, standard three-incision vitrectomy was performed. The visual acuity at the right eye improved quickly and even exceeded the left eye within half month reaching to 0.9 from 0.02. Conclusion: Vitrectomy is a useful tool, at least in certain case, in treating syphilitic uveitis. Its safety and mechanism need further amply study, though there is no any obvious side effect in the reported case.